NPI | 1205101227 |
---|---|
Other Name | RICHARD DIEGO TUCKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CA A124072) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2018-0785) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-09 |
Last Update Date | 2023-05-09 |